Provider Demographics
NPI:1598219909
Name:UNITED ENERGY WORKERS HEALTHCARE, LLC
Entity Type:Organization
Organization Name:UNITED ENERGY WORKERS HEALTHCARE, LLC
Other - Org Name:UNITED ENERGY WORKERS HEALTHCARE, CORP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:COMPLIANCE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RENEE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:307-856-2600
Mailing Address - Street 1:6211 DELTONA BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-1099
Mailing Address - Country:US
Mailing Address - Phone:352-585-4535
Mailing Address - Fax:
Practice Address - Street 1:51 S MAIN AVE STE 306
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33765-3937
Practice Address - Country:US
Practice Address - Phone:727-498-6550
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-15
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health